Bio Warehouse Form

TEXAS DEPARTMENT OF PUBLIC SAFETY

CRIME LABORATORY

Laboratory Submission Form (Continuation)

LAB-06C Rev.01 (04/2013) p.1 Issued by: QAC

Agency
Agency Case #

TEXAS DEPARTMENT OF PUBLIC SAFETY

CRIME LABORATORY

Bio Warehouse Form

LAB-25 Rev.00 (04/2015) p.1 Issued by: QAC

New Additional Resubmission

Corrected Copy

Agency
Agency Case #
Offense
Offense Date
Offense County
DPS Laboratory Use Only
Label Here
Printed Name Agency
Signature Date

Case Contact Person Information

Title/Full Name / Badge Number
Physical Address / Phone
City, State, Zip / Email

Individual (P=Prisoner, V=Victim, U=Unknown)

P / V / U / Name (Last, First, Middle) / Sex / Race / DOB / State / Driver License # / State ID #

TEXAS DEPARTMENT OF PUBLIC SAFETY

CRIME LABORATORY

Laboratory Submission Form

LAB-06 Rev.01 (04/2013) p.1 Issued by: QAC

Agency
Agency Case #
S / V / E / Name (Last, First, Middle) / Sex / Race / DOB / State / Driver’s License # / State ID #

Page 2 of 1

TEXAS DEPARTMENT OF PUBLIC SAFETY

CRIME LABORATORY

Laboratory Submission Form (Continuation)

LAB-06C Rev.01 (04/2013) p.1 Issued by: QAC

Agency
Agency Case #

Conviction Information

Cause# / District Court Name / Court # / Date of Conviction / Sentence

Page 2 of 1

TEXAS DEPARTMENT OF PUBLIC SAFETY

CRIME LABORATORY

Bio Warehouse Form

LAB-25 Rev.00 (XX/2015) p.1 Issued by: QAC

Agency
Agency Case #
Item # / # of Items / Item Description /

Evidence

Item # / # of Items / Item Description /

Page 2 of 1

TEXAS DEPARTMENT OF PUBLIC SAFETY

CRIME LABORATORY

Bio Warehouse Form

LAB-25 Rev.00 (XX/2015) p.1 Issued by: QAC

Agency
Agency Case #
Item # / # of Items / Item Description /

Page 2 of 1

TEXAS DEPARTMENT OF PUBLIC SAFETY

CRIME LABORATORY

Bio Warehouse Form

LAB-25 Rev.00 (XX/2015) p.1 Issued by: QAC

Agency
Agency Case #
Item # / # of Items / Item Description /

Page 2 of 1